APA-MAR-73

Code
APA-MAR-73
Mercy ID
V-01541-01
Encounter Date
03/22/2004
Last
Aparicio
First
Maria guadalupe
DOB
09/28/1973
County
Other
Street
5682 Fairburn Rd. Lot FF9
City
Douglasville
State
GA
Zip
30139-
Home
(770) 947-0179
Family Status
Single parent w/children
COB
Mexico
Gender
Female
Housing
Not Homeless
Education Level
Grade school

Spouse Information

Last
Aparicio
First
Carlos
Middle
E.
DOB
03/09/1965
Address
N/A
Telephone
N/A
COB
Mexico
Home Owner
YES
Driver
No
Home Owner
No
SOLO
No
Court Mandated
No
Program Completed
No
DFCS Mandated
No
Alcohol & Drug
No
Partner Referred to Tepestri
No
Recidivism/Court
No
New Incident
No
Promesa de Confidencialidad
No
Consentimiento De Participar
No

Petitioner

TPO
No
Stay Away Condition
No
Mutual
No

Defendant

TPO
No
Stay Away Condition
No
Mutual
No
Driver
No
As A Child
No
Relative
No
Stranger
No
As An Adult
No
Partner
No
Relative
No
Stranger
No

Children

NAME DOB LIVING WITH STATE/COUNTRY
Blanca Esperanza Aparricio 10/11/1991 Mother GA/USA
Karla Jacqueline Aparicio 12/30/1996 Mother GA/USA
Victoria Aparicio 01/07/2001 Mother GA/USA
NOTES

Media Authoritation

NO DOY PERMISO
DOY PERMISO
No
Limitado Impresos
No
Limitado Educativo
No
Limitado CL
No
Intake
J. Manzo
Data Entry
K. Aleman
Referred By
Damaryz